| NPI | 1467944223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 97530) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 010067) |
| 207L00000X Anesthesiology (Licence: NY 301908) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-11-03 |